| NPI | 1013749217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINN MCCULLOUGH CEO 480-745-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |